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Uncategorized Published - 14 October, 2019    By - Dr Clemens
For growing number of doctors, life in medicine extends into 70s

Author: Andis Robeznieks American Medical Association Every year, a new record is set for medical school enrollment. But despite this influx of new doctors, the U.S. physician work-force continues to trend older. There were 985,000 licensed physicians in the U.S. in 2018, according to the Federation of State Medical Boards’ (FSMB) biennial census, which notes […]

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Uncategorized Published - 11 October, 2019    By - Dr Clemens
CAN MEDTECH KEEP UP WITH ASC EXPANSION?

Definitive Healthcare The shift from inpatient to outpatient care centers has been well-documented over the last few years. Ambulatory surgery centers (ASCs) are often the focal point in this trend, situated at the sweet intersection of cost and convenience, pulling attention from hospital outpatient centers. Traditionally, acute care hospitals have dominated the surgical arena, the […]

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Uncategorized Published - 11 October, 2019    By - Dr Clemens
Health Care-Associated Infections: A Call to Anesthesia Professionals

AUTHORS: Richard C. Prielipp MD, MBA; David J. Birnbach MD, MPH APSF Newsletter Circulation 122,210 • Volume 34, No. 2 • October 2019 This issue of the APSF Newsletter sheds new light on an old issue and challenges clinicians to refocus their attention on health care-associated infections (HCAI) and even more relevant, surgical site infections (SSI). Infection control […]

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Uncategorized Published - 11 October, 2019    By - Dr Clemens
Red Blood Cell Transfusion in Pediatric Orthotopic Liver Transplantation: What a Difference a Few Decades Make

AUTHORS: Tran, Lieu T. MD et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 1087-1092 BACKGROUND: Liver transplantation in children is often associated with coagulopathy and significant blood loss. Available data are limited. In this observational retrospective study, we assessed transfusion practices in pediatric patients undergoing liver transplantation at a […]

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Uncategorized Published - 11 October, 2019    By - Dr Clemens
Coagulation Factor Levels and Underlying Thrombin Generation Patterns in Adult Extracorporeal Membrane Oxygenation Patients

AUTHORS: Mazzeffi, Michael MD, MPH, MSc et al Anesthesia & Analgesia: September 2019 – Volume 129 – Issue 3 – p 659-666 BACKGROUND: There is a paucity of data on the underlying procoagulant–anticoagulant balance during extracorporeal membrane oxygenation (ECMO). We hypothesized that adult ECMO patients would have an imbalance between procoagulant and anticoagulant factors, leading to […]

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Uncategorized Published - 11 October, 2019    By - Dr Clemens
Health Effects of Ultra-Processed Food

I thught this was interesting so I wanted to share with our readers even if it doesn’t deal directly with anesthesia. Author: Srour B et al. BMJ 2019 May 29 Rico-Campà A et al. BMJ 2019 May 29 Higher consumption of ultra-processed food is associated with higher risks for cardiovascular disease and death. Ultra-processed food (e.g., carbonated drinks, […]

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Uncategorized Published - 11 October, 2019    By - Dr Clemens
Opioid Prescriptions Tied to Higher Overdose Risk Among Family Members

By Kelly Young People whose family members have opioid prescriptions face increased risk for opioid overdose themselves, according to a case-control study in JAMA Internal Medicine. Using claims data from 2004 to 2015, researchers matched roughly 2300 people with opioid overdose to 9200 controls without overdose. Having a family member with a prior opioid prescription was […]

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Uncategorized Published - 10 October, 2019    By - Dr Clemens
Anesthesia Type Is Not Associated With Postoperative Complications in the Care of Patients With Lower Extremity Traumatic Fractures

AUTHORS: Brovman, Ethan Y. MD et al Anesthesia & Analgesia: October 2019 – Volume 129 – Issue 4 – p 1034-1042 BACKGROUND: Lower extremity fracture fixation is commonplace and represents the majority of orthopedic trauma surgical volume. Despite this, few studies have examined the use of regional anesthesia or neuraxial anesthesia (RA/NA) versus general anesthesia (GA) […]

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Uncategorized Published - 10 October, 2019    By - Dr Clemens
Effect of Intravenous Lidocaine, Dexamethasone, and Their Combination on Postoperative Sore Throat

AUTHORS: Subedi, Asish MD et al Anesthesia & Analgesia: July 2019 – Volume 129 – Issue 1 – p 220-225 BACKGROUND: Postoperative sore throat (POST), hoarseness, and cough after tracheal intubation are not uncommon. Although both lidocaine and dexamethasone have been used independently to reduce these events, there is no study assessing the combined effects of […]

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Uncategorized Published - 10 October, 2019    By - Dr Clemens
Preoperative Pulmonary Function Test Results Are Not Associated With Postoperative Intubation in Children Undergoing Posterior Spinal Fusion for Scoliosis

AUTHORS: Burjek, Nicholas E. MD et al Anesthesia & Analgesia: July 2019 – Volume 129 – Issue 1 – p 184-191 BACKGROUND: Preoperative pulmonary function tests are routinely obtained in children with scoliosis undergoing posterior spinal fusion despite unclear benefits as a perioperative risk assessment tool and frequent inability of patients to provide acceptable results. The goal […]

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